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<br />STATE OF COLORADO <br />DIVISION OF lvMiNERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 2l5 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />REDEA!/ED <br />JUN 2 3 2004 <br />Ulvision ofi rvlilterafs & Geology <br />APPLICATION FORM <br />COLORADO <br />D I V I S I O N O F <br />MINERALS <br />GEOLOGY <br />0.ECLAMATION•IIINING <br />SAFETY•SCIENCE <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Trustee <br />The application for a Transfer ofPermit and Succession of Operators must contain four (4) major parts: 1) anApplication Form; 2) an <br />Application Fce; 3) a PerformA?+cP Warranty (attached as part ofthe ApplicationPackage) beazingthe original notarized sigaatise ofthe <br />Successor Operator, end 4) a replacement Financial Warranty provided by the Successor Operator, bearing an original notarized <br />signature. To expedite processing, please provide the information in the format and order destaibed.below. ,^ <br />FINANCIAL WARRANTY INFORMATION (Cho <br />]. lion AC~~~2~7' (-a~ <br />(Initial rt Date) <br />2. lion B: <br />nlD / _ loo r~ ~ <br />TRANSFER OF PERMTT AND SIICCESSION OF OPERATORS <br />(Initial & Date) <br />/~ I~-P - I Z /~ ~ / ~yo <br />Pemtit #: M-1985-200 Confidential?: N <br />Class: Revision Type/Seq.: SO-1 <br />From: Michael G. Erker end Cynthia L Erker TO: DMG <br />Doc. Name: SO Morgan Couuty to Michael G. Erker and <br />Cynthia L Erker <br />Date: o6n3nooa <br />Specialist: GRSBDC <br />I wish to WAI <br />Division of Minerals and Geology to recalculate the Financial Warranty <br />regtrirements. If you choose Option A you should not submit a Financial. <br />Warranty and Performance Warranty until the Division notifies you of the <br />correct amount of your warranty requirements. <br />I DO NOT WISH TO WAIVE MY RIGHT to a 30-day processing time. I <br />hereby submit a replacement Finan©al Warravry for the same dollaz amount as <br />the Financial Wazrainy maintainedby the cfarent operator. I rroderstandthatthe <br />Divisi~ of Minerals and Geology will recalculate the required reclamation <br />bond within 60-days fiom the date that the transfer is completed and the <br />xeqused FINANCIAL WARRANTY COULD BE SUBSTANTIALLY <br />1NCREASID at that time. As the new operator, I agree to be responsible for <br />posting arty required increase to the financial warranty for good cause shown, in <br />a form acceptable to the Board, within 60-days of such notice. <br />Office of ~ Office of Colorado <br />Mined land Reclamation Active and Inactive Mines Geological Survey <br />